J-Dog of Hollywood Undead told Artist Direct that the origins of this tune was Da Kurlzz having "a vision out of nowhere of doing a heavier song." He added that he and Deuce "just wanted to make an in-your-face heavy song with crazy drums and live guitar."
The Flaming Lips' "Do You Realize??" was named in March 2009 the official Rock Song of Oklahoma. Four years later, Oklahoma's governor Mary Fallin pulled the tune as the state's official rock song in a move her office said had more to do with priorities than musical taste.